GynaePulse
Modes of deliveryFree in the app

VBAC — birth after caesarean

Counselling numbers.

Source: NICE NG192 · RCOG GTG 45

Fact

Success72–75%; 85–90% if a previous vaginal birth.
Rupture~1 in 200 after one lower-segment CS; 2–3× higher if induced.
Baby breathing problems4–5% repeat CS vs 2–3% VBAC.

In labour

  • Continuous CTG
  • Unit with immediate CS and blood
  • Watch for scar pain, bleeding, abnormal CTG, loss of station
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.